Individual
DR. TERRENCE L ALLEMANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1487 W MAIN ST, TIPP CITY, OH 45371-2803
(937) 667-0776
(937) 667-0854
Mailing address
1487 W MAIN ST, TIPP CITY, OH 45371-2803
(937) 667-0776
(937) 667-0854
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30016164
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000264404
ABCBS - PROVIDER #
OH
05
—
0960607
—
OH
01
—
460507033027
CARESOURCE ID #
OH
01
—
884352
UNITED CONCORDIA
OH
Enumeration date
01/26/2006
Last updated
07/09/2007
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